THORACIC INNOVATION, LLC
NPI 1326335548
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Davie, FL

Active since July 08, 2011
15053 SW 40TH ST, DAVIE, FL 33331(340) 772-2000 Get Directions Write a Review

NPPES record last updated: July 21, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Thoracic Innovation, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THORACIC INNOVATION, LLC (NPI 1326335548) is a healthcare organization registered as a thoracic surgery (cardiothoracic vascular surgery) in Davie, Florida and active in the NPI registry since July 2011. The organization lists Moses Degraft-johnson, Physician/owner, as its authorized official.

NPPES Registry Identity

NPI1326335548
Entity TypeOrganization
Primary Taxonomy208G00000X
Legal Business NameTHORACIC INNOVATION, LLC
Location Address15053 SW 40TH STDavie, FL 33331-2769
Mailing Address15053 Sw 40th StDavie, FL 33331-2769
Organization SubpartNo
Authorized OfficialMoses Degraft-johnsonPhysician/owner · (340) 772-2000
Enumeration DateJuly 8, 2011
Last NPPES UpdateJuly 21, 2011
NPI 1326335548 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians
Taxonomy Code208G00000X
License Licensed in FL · ME106359
Definition

A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.

15053 SW 40TH ST, Davie, FL 33331

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1326335548, enumerated as an "organization" on July 08, 2011.

The provider is located at 15053 SW 40TH ST DAVIE, FL 33331 and the phone number is (340) 772-2000.

Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.